Contract Changes [A5015, 2024-09-06]

Contract Changes [A5015, 2024-09-06]

Contract Number	41
Brand Code	A5015
Drug	DIOVAN 160MG TAB (NVS) VALSARTAN
LAgent Code	COL
Package Size	14'S
Formulary Category	A
Package Price	9.08
Protocol Monthly Max	30
Drug Contract Start Date	2024-09-06
Drug Contract End Date	2026-03-31
Contract Changed
Change Date	2024-09-06